ArticleBMC musculoskeletal disorders2016
Predictors of the patient-centered outcomes of surgical carpal tunnel release - a prospective cohort study.
Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 35 citations in OpenAlex.
- Treatment outcome in patients with clinically defined carpal tunnel syndrome but normal electrodiagnostic test results: a randomized controlled trial.Journal of neurology · 2017Trial
- Preoperative Diagnostic Factors Associated With Early MCID Achievement in BCTQ Outcomes Following Carpal Tunnel Release.Journal of hand surgery global online · 2026Article
- Long-term patient-centered outcomes following carpal tunnel release surgery: a 10-year follow-up.Langenbeck's archives of surgery · 2025Article
- Manual therapy compared to surgery in the treatment of moderate carpal tunnel syndrome.Postepy psychiatrii neurologii · 2024Article
- Long-Term Functional Outcomes and Quality of Life Following Carpal Tunnel Release Surgery.International journal of environmental research and public health · 2024Article
- Relationship between clinical outcomes and nerve conduction studies before and after surgery in patients with carpal tunnel syndrome.BMC musculoskeletal disorders · 2021Article
- Clinical predictors of surgical outcomes of severe carpal tunnel syndrome patients: utility of palmar stimulation in a nerve conduction study.BMC musculoskeletal disorders · 2020Article
- Risk factors for limited improvement after total trapeziometacarpal joint arthroplasty.Health and quality of life outcomes · 2020Article
- Higher preoperative pain catastrophizing increases the risk of low patient reported satisfaction after carpal tunnel release: a prospective study.BMC musculoskeletal disorders · 2020Article
- Outcome after carpal tunnel release: effects of learning curve.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019Article
- Does the Duration and Severity of Symptoms Have an Impact on Relief of Symptoms after Carpal Tunnel Release?Journal of brachial plexus and peripheral nerve injury · 2019Article
- Hand Surgeons Performing More Open Carpal Tunnel Releases Do Not Show Better Patient Outcomes.Plastic and reconstructive surgery · 2018Article
- Quality of care and patient-reported outcomes in carpal tunnel syndrome: A prospective observational study.Muscle & nerve · 2018Observational
- Geriatric Cyclists: Assessing Risks, Safety, and Benefits.Geriatric orthopaedic surgery & rehabilitation · 2018Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCarpal tunnel syndrome (CTS) causes a substantial burden of disease in society. While CTS can be resolved by surgical carpal tunnel release, it still remains unclear as to what degree outcomes depend on patients' characteristics. This study assesses patient-centered outcomes after surgical carpal tunnel release in a large outpatient clinic in Germany.
methodsPatients with CTS were recruited prospectively between August 1st and December 31st, 2013. We assessed socio-demographic and psychological factors as well as nerve conduction velocities at baseline (before the surgery) and at three and six months after surgery. We analyzed the improvement of patient-centered outcomes (symptoms and function of the affected hand as well as measures of well-being and subjective quality of life) at the two follow-up time points and investigated if socio-demographic characteristics and CTS-related variables predict the success of the surgery with respect to nerve conduction velocities and patient-centered outcomes by means of analysis of covariance (ANCOVA). Factors influencing the duration of sick leave were investigated by means of Cox regression.
resultsThe study sample consisted of 71 CTS cases. Surgical carpal tunnel release generally improved nerve conduction velocity and patient-centered outcomes. Regarding the former, the improvement was proportional to the severity score at baseline. The presence of muscular atrophy in the thenar area at baseline displayed medium size effects for the patient-centered outcomes. Other socio-demographic characteristics and CTS-related variables did not have a strong predictive effect on the improvement of nerve conduction velocity and patient-centered outcomes.
conclusionsThere is a significant improvement of clinical and subjective outcomes after CTS surgery in the outpatient sector. The improvement is largely independent of socio-demographic and clinical characteristics of the patients.
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